Individual
ALY GOLDFARB PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 84010-7676
(801) 295-7200
Mailing address
1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 84010-7676
(801) 295-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
02/04/2021
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